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How to Make a Referral

You can actually refer yourself! A referral can also be made by a family member, physician or other provider who is familiar with your condition. To make a referral you can call (336) 628-4200 or for TTY, please call (336) 275-8878. You can also download the Quick Referral Form and fax it to (336) 628-4196.

Quick Referral Form